Organization
LIT K. FUNG, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Modesto Heart Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LIT K FUNG M.D. (PRESIDENT)
(209) 572-4222
Entity
Organization
Contact information
Practice address
1501 OAKDALE RD STE 218, MODESTO, CA 95355-3382
(209) 572-4222
(209) 572-4272
Mailing address
1501 OAKDALE RD STE 218, MODESTO, CA 95355-3382
(209) 572-4222
(209) 572-4272
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G59878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8503333
—
CA
01
—
P00014379
RAILROAD MEDICARE
CA
Enumeration date
01/30/2007
Last updated
09/06/2023
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